An Adult Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
Which pulse site is commonly used to assess circulation in the lower extremity?
✔✔ Posterior tibial artery
During auscultation of the heart, where is the aortic valve best heard?
✔✔ Second intercostal space at the right sternal border
What is the primary purpose of percussion during a lung exam?
✔✔ To assess underlying tissue density and presence of air or fluid
How should a nurse assess skin turgor to evaluate hydration status?
✔✔ Pinch the skin over the clavicle and observe the speed of return
Which cranial nerve is tested by assessing pupillary response to light?
✔✔ Cranial nerve III (Oculomotor nerve)
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, What position is recommended to assess the jugular venous pressure in an adult?
✔✔ Patient lying at a 45-degree angle
When auscultating bowel sounds, how long should the nurse listen before concluding they are
absent?
✔✔ 5 minutes
Which assessment finding suggests peripheral edema?
✔✔ Indentation of the skin after applying pressure (pitting)
How can a nurse best assess for muscle strength in the upper extremities?
✔✔ Ask the patient to push and pull against resistance
What is the normal expected finding when palpating lymph nodes in a healthy adult?
✔✔ Nodes are small, mobile, and non-tender
Which technique is used first when performing a comprehensive abdominal assessment?
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